ORCID Profile
0000-0002-8692-5105
Current Organisations
Curtin University
,
University of Aberdeen
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Publisher: Elsevier BV
Date: 04-2020
DOI: 10.1016/J.JNEB.2019.06.002
Abstract: To explore undergraduate students self-reported learning experience in a foundation nutrition education course/unit delivered using a flipped classroom approach (FCA), which requires students to complete independent learning before and after interactive in-class learning experiences. A descriptive cohort study design used selected items from a self-report flipped classroom student engagement questionnaire to assess Australian undergraduate student (n = 105) engagement in the course/unit and compared with nonflipped courses, preference for FCA, academic achievement, learning behaviors for 3 FCA learning phases, and more or less engaging aspects of the course/unit. Most (66.5%) students were engaged or very engaged, with half (55%) more engaged in this course/unit compared with other nonflipped courses/units with a preference for the FCA (53%). Almost half of the students agreed the FCA improved their academic performance (grade) (45%) and other academic skills (ie, teamwork) (48.5%). Most student comments related to the value of participate phase activities. The FCA engaged most students in learning and is an emerging learning and teaching approach appropriate for undergraduate nutrition dietetic education.
Publisher: Wiley
Date: 22-12-2021
DOI: 10.1111/AJO.13282
Abstract: Since the WOMAN trial, intravenous tranexamic acid (TXA) has been increasingly used in severe postpartum haemorrhage (PPH) but research evaluating use in high‐income settings is limited. To assess whether implementation of a new guideline involving early administration of 1 g intravenous TXA in active PPH with blood loss ≥ 1000 mL, was associated with a change in maternal morbidity. Retrospective study of all singleton, term, vaginal births from November 2016 to June 2019 with a PPH of ≥1000 mL, before and after hospital adoption of a guideline recommending early (within three hours of birth) administration of TXA for women with active PPH ≥ 1000 mL. Univariate analysis assessed the impact of this guideline implementation on a primary outcome of maternal morbidity, defined as one or more of haemoglobin 90 g/L, administration of blood products, hysterectomy or intensive care admission. Secondary outcomes were adverse events related to administration of TXA, use of an intrauterine balloon or postpartum iron infusion. There was no difference in morbidity (odds ratio (OR) 0.86, 95% CI 0.57–1.29, P = 0.46) or postpartum iron infusion (OR 1.44, 95% CI 0.92–2.27, P = 0.11), but there was a reduction in the use of intrauterine balloon t onade after the implementation of the TXA guideline (OR 0.33, 95% CI 0.16–0.67, P 0.01). This retrospective analysis showed a reduced use of intrauterine balloon but failed to show a benefit in maternal morbidity with early administration of TXA for severe postpartum haemorrhage in a high‐income setting.
Publisher: Springer Science and Business Media LLC
Date: 19-01-2017
Publisher: Wiley
Date: 04-2020
DOI: 10.1111/AJO.13098
Abstract: Obstetrics and gynaecology training is a demanding vocation there is a paucity of data on trainee resilience and well-being in this field. To investigate resilience, support and perceived levels of stress and burnout in Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) trainees. A cross-sectional survey of RANZCOG trainees in Australia and New Zealand (n = 638) was distributed electronically in May 2018. Two-hundred and thirty-one (36%) valid responses were received. The mean resilience score was moderate (mean = 77 SD = 11). Resilience was significantly associated with general health (F = 7.5, P = 0.007), depression in the last two weeks (F = 4.4, P = 0.013) and seriously considering leaving the program at some point (F = 15.4, P < 0.001). Most participants (204 88%) stated improvements could be made to the level of trainee support with over half identifying the support they received from RANZCOG to be low or very low (132 57%). One-third of participants (76 33%) rated the support from their direct supervisor as low to very low. Over half of all participants identified high to very high responses to: burnout (127 55%) personal stress (134 58%) workplace stress (143 62%) and depression (103 45%). RANZCOG trainees exhibit moderate resilience levels, yet they report high levels of perceived stress, depression and burnout and low-level support from direct supervisors. This may highlight the need for enhanced support and working conditions to allow trainees to remain resilient and thrive in their careers.
Publisher: SAGE Publications
Date: 03-10-2020
Abstract: This review updates evidence of previous reviews on interventions that target reducing sedentary behaviour among 18- to 69-year-old working aged adults. A literature search of PubMed, Informit, Scopus, EBSCO, Web of Science and ProQuest. Quality was assessed for in idual articles using McMaster University Guidelines. Descriptive analysis was used to summarise findings across studies. Fifteen studies were identified with critical appraisal scores ranging from 10 to 14 (of a possible 15), with a mean score of 11.7 indicating overall moderate quality. The majority of interventions were implemented in the workplace. Others were based in the neighbourhood and education institution settings. Just over half of the studies ( n = 9) reported a significant decrease in sedentary behaviour, including in total sedentary behaviour and sitting time, work sitting time and leisure sitting time. Overall sitting time decreases ranged from 8 to 122 minutes per day across all settings. There is some emerging evidence that sedentary behaviour interventions have the potential to reduce sedentary behaviour of working aged adults. However, given the paucity of literature, the effectiveness of such interventions is currently inconclusive. Further high-quality research across different settings is needed using validated standardised measures of sedentary behaviour.
Publisher: Wiley
Date: 03-01-2018
DOI: 10.1002/HPJA.15
Abstract: Improving the health of men is a national policy priority. The Men's Shed program is one health promoting initiative that seeks to improve the health and wellbeing of men. This study assessed Men's Shed members' perceptions of the health and wellbeing benefits of Men's Shed activity in a large regional Queensland Men's Shed. Data were collected via a self-administered questionnaire from 147 and three group interviews with 17 shedders. Wilcoxon signed-rank test was used to determine differences in shedders perceived health and wellbeing measures retrospectively just before joining the Men's Shed and currently. Thematic analysis was used to analyse qualitative data. There was no change in overall self-assessed health of shedders before and after joining the Men's Shed. Shedders expanded their social networks, and experienced less felt need for social interaction. Shedders' level of satisfaction with feeling part of the community and life as a whole increased. Health and wellbeing benefits of Men's Shed included fellowship, sense of belonging, access to equipment, and learning new and sharing their own skills. The Men's Shed appeared to provide social health and wellbeing benefits to its members, and an environment for quality social interaction. The Men's Shed is seen as a place for and about members - men. SO WHAT?: Men's Shed may have a unique role in supporting the social health and wellbeing of men beyond that already available from other community groups by providing an environment for the fellowship of men and activities of interest in an unstructured way.
Publisher: Oxford University Press (OUP)
Date: 18-09-2008
DOI: 10.1111/J.1467-985X.2007.00499.X
Abstract: In the early 1970s Tversky and Kahneman published a series of papers on ‘heuristics and biases’ describing human inadequacies in assessing probabilities, culminating in a highly popular article in Science. This seminal research has been heavily cited in many fields, including statistics, as the definitive research on probability assessment. Curiously, although this work was debated at the time and more recent work has largely refuted many of the claims, this apparent heuristics and biases bias in elicitation research has gone unremarked. Over a decade of research into the frequency effect, the importance of framing, and cognitive models more generally, has been almost completely ignored by the statistical literature on expert elicitation. To remedy this situation, this review offers a guide to the psychological research on assessing probabilities, both old and new, and gives concrete guidelines for eliciting expert knowledge.
Publisher: Elsevier BV
Date: 03-2019
DOI: 10.1016/J.YPMED.2019.01.017
Abstract: Research has examined spatial distribution of physical activity, mostly focusing on between-area differences by examining associations of area-level walkability measures with physical activity. Within-area distribution is also relevant, since larger disparities in physical activity within an area can contribute to greater inequalities in health. However, associations of within-area disparity in walking and walkability have been examined only at a large geographical scale (city level). This cross-sectional study examined associations of local-area walkability measures with within-area disparities in residents' walking and car use, using data collected in the 2009 South-East Queensland Travel Survey in Australia. For each Statistical Area 2 (SA2), we calculated disparity indices of the duration of walking and car use among participants aged 18-84 years, using Gini coefficients. Linear regression examined associations of the disparity measures with population density, street connectivity, and Walk Score. Analyses were conducted for 196 SA2s, which contained 15,895 participants. Higher walkability was associated with lower levels of disparity in walking and higher levels of disparity in car use, regardless of the measures used. Each one-SD increment in Walk Score was associated with a 0.64 lower SD in walking disparity and a 0.50 higher SD in car-use disparity, after adjusting for covariates. The associations remained significant after further adjusting for car ownership. Higher walkability is known to be associated with more walking and less car use. This study extends previous knowledge by showing that higher local-area walkability can be associated with less inequality in residents' walking and higher ersity in their car use.
Publisher: Wiley
Date: 06-2009
DOI: 10.1002/ENV.935
Publisher: Elsevier BV
Date: 12-2021
Publisher: Informa UK Limited
Date: 21-02-2022
Publisher: Elsevier BV
Date: 08-2019
DOI: 10.1016/J.MIDW.2019.05.001
Abstract: This study aimed to describe practices used during the third stage of labour in a cohort of Australian women and explore clinical outcomes such as postpartum hemorrhage and clinical decision making associated with these practices. This study employed a prospective cohort design and reports a secondary analysis of a primary study that examined factors associated with PPH specifically relating to third stage management practices. It was conducted in three linked sites, in Queensland, Australia: a regional hospital, rural hospital and a private-practising midwifery service. type of third stage management chosen by the care provider, and why use of uterotonic medications (including administration timing) determination of cord-cl timing and why and, use of controlled cord traction. Convenience s le of women birthing vaginally between October 2015 and April 2016 (n = 522). Active management was the most common self-reported third stage management practice across these birth settings despite local health service guidelines advocating modified active management for all births. Modified active third stage was associated with least risk of PPH however considerable variation in modified active practices was evident, particularly relating to cord cl timing and oxytocic administration. Professional discipline, birth setting and complications during labour were significantly associated with differences in third stage management. Midwives were more likely to engage in expectant management than obstetricians while active management was more commonly used in the rural setting and when complications during labour were experienced. Modified active management was not associated with an increased risk of PPH consistent with contemporary evidence. However, a considerable proportion of providers may not be following evidence-based guidelines supporting modified active management which may be attributed to uncertainty around third stage practice definitions which has implications for education, practice, and policy. Despite evidence-based guidelines, differences exist within modified active management including cord cl timing, uterotonic administration and use of controlled cord traction. Modified active management was not associated with an increase in PPH.
Publisher: Springer Science and Business Media LLC
Date: 07-06-2018
Publisher: Wiley
Date: 02-2020
DOI: 10.1111/AJR.12593
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Mary Kynn.